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Claims Director

CentivoEmployer Health company
RemoteDirector
Operations & Strategy

About the role

The Claims Director leads the claims operations, ensuring efficient and effective claims processing.

  • The Director, Claims Operations is responsible for the end-to-end performance of the claims operation, translating strategy into plans and building a high-performing team.
  • Key Responsibilities Own the day-to-day operational performance of the claims department Support the strategy and execution of a roadmap to drive auto-adjudication rates Establish, monitor, and enforce inventory management standards and workflows Develop and own the claims department's client experience strategy Serve as the claims operational owner of the system transformation from Javelina to HRP Requirements Strong leadership and team management skills Experience in claims operations and inventory management Ability to develop and execute strategic plans Excellent client experience and cross-functional collaboration skills Experience with system transformation and technology integration
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